2. Participants Panel Chat Box

3. Undoing inequity: inclusive WASH programmes that deliver for all Jane Wilbur (Equity and Inclusion Advisor) WaterAid Photo: WaterAid/Jane Wilbur

4. Project overview The project aims to: 1.Understand the barriers that disabled, older and chronically ill people face when accessing WASH 2.Develop an approach to address barriers to WASH access and use 3.Understand how improved access to WASH impacts on the lives of vulnerable people and their families

5. Project areas UGANDA, thirteen sub-counties in Amuria and Katakwi Districts ZAMBIA, Mwanza West ward in Zambia’s Monze District

6. Baseline findings Icons: Meeting by Scott Lewis from The Noun Project. Outhouse by Luis Prado from The Noun Project People with physical impairments crawl on the floor to use a toilet or defecate in the open. 19% of disabled people were stopped from touching water because they were ‘dirty’ (Uganda). Disability is contagious, a curse (Zambia and Uganda). Many vulnerable people had ‘never thought about’ adaptations to make toilets more accessible. Only 50% of vulnerable people were consulted where household toilets were made more accessible (Uganda).

7. Inclusive WASH intervention Carrying out participatory barrier analysis at the district level (left) and in the community (right)

8. Aiming for full and meaningful participation in meetings and consultation

9. Accessibility and safety audits “I don’t like leaving the toilet door open when I use the toilet, but the wheelchair blocks the door”

10. Developing low tech, low cost solutions

11. Providing information on low cost, low tech designs

12. Developing resources and materials

13. Mid-term review findings Water access Fewer vulnerable people reported difficulties collecting water (Uganda: 70% to 55%; Zambia: 50% to 44%) Older and physically disabled people still face significant barriers: distance to the water point & carrying water containers Can rural WASH programmes address distance issues? Role of rainwater harvesting? WaterAid/Stephen Segawa

14. Rates of open defecation have dropped by 20% in Zambia and 5% in Uganda. But… Sanitation access

16. Uptake of support structures inside the latrine was low in both countries (3 toilets in Zambia; 2 in Uganda) Older people face most challenges finding the toilet at night & balancing Images: WaterAid/Layford Jere; WaterAid/Jane Wilbur Sanitation access

17. Percentage of children with disabilities enrolled in schools.

18. Before they brought water, I could bathe once a month. Now I bathe two to three times a day. People never used to eat with me because I was dirty and smelling. Now everyone eats together as I am no longer dirty. Vulnerable people’s ability to bathe more frequently increased between the baseline and mid-term (by 31% in Zambia and 15% in Uganda). Potentially improving access to WASH may increase a vulnerable person’s self-esteem and social interactions. Hygiene access

19. BaselineMid-term Disability is contagious, a curse. Misconceptions seem to have reduced. At baseline, 19% of vulnerable people reported being told not to touch or handle water in Uganda. This dropped to 1% at mid-term (not a direct comparison). Limited awareness about differing access requirements. Partner staff and local government officials’ attitudes / perceptions have changed: disabled people were excluded from mainstream WASH activities and their needs were overlooked. People still are socially excluded, especially older people (due to decreased mobility and ill health) within communities and households. Stigma and discrimination

20. Everyone, everywhere forever by 2030 Vulnerable people face common barriers to WASH access and use. We must address all three barriers. If not, people will still be excluded. We must mainstream inclusive WASH so everyone, everywhere has sustainable WASH by 2030. Photo: WaterAid/Jane Wilbur

21. Thank you Photo: WaterAid/Jane Wilbur